Title: Predictors of Failure of Outpatient Antibiotics for ED Cellulitis Patients
题目：急诊蜂窝织炎患者门诊抗生素治疗失败的危险因素
Author 作者: Bryan Hayes

翻译：江利冰 校对：肖锋

In a prospective cohort of 598 ED patients, 5 risk factors were independently associated with uncomplicated cellulitis patients who fail initial antibiotic therapy as outpatients and require a change of antibiotics or admission to hospital: 
在一项纳入598例急诊患者的前瞻性队列研究中，5项危险因素是简单蜂窝织炎患者对门诊抗生素治疗失败并需要更改抗生素治疗方案或者入院治疗的独立因素，
1.Fever (temperature > 38°C) at triage (OR = 4.3, 95% CI = 1.6 to 11.7)
分诊时有发热（体温>38°C），(OR = 4.3, 95% CI = 1.6 to 11.7)。
2.Chronic leg ulcers (OR = 2.5, 95% CI = 1.1 to 5.2)
慢性腿部溃疡 (OR = 2.5, 95% CI = 1.1 to 5.2)。
3.Chronic edema or lymphedema (OR = 2.5, 95% CI = 1.5 to 4.2)
慢性水肿或者淋巴水肿 (OR = 2.5, 95% CI = 1.5 to 4.2)。
4.Prior cellulitis in the same area (OR = 2.1, 95% CI = 1.3 to 3.5)
同一部位之前发生过蜂窝织炎(OR = 2.1, 95% CI = 1.3 to 3.5)。
5.Cellulitis at a wound site (OR = 1.9, 95% CI = 1.2 to 3.0)
蜂窝织炎发生在伤口部位(OR = 1.9, 95% CI = 1.2 to 3.0)。

Patients presenting with uncomplicated cellulitis and any of these risk factors may need to be considered for observation +/- IV antibiotics.
患者如果发生蜂窝织炎以及以上的任何一项危险因素可能需要考虑观察和/或静脉注射抗生素。
References参考文献：
Predictors of Failure of Empiric Outpatient Antibiotic Therapy in Emergency Department Patients with Uncomplicated Cellulitis. Acad Emerg Med 2014; 21(5):526-31. [PMID 24842503]